cms-part c and part d

Navigating the 2025 Advance Notice: Implications for Medicare Advantage and Part D

On January 31, 2024, the Centers for Medicare & Medicaid Services (CMS) released a draft of the 2025 Advance Notice describing the Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part … Read More

Medicare Advantage Compliance

Medicare Advantage Overpayments: Are You Ready for RADV Audits?

In recent news, the healthcare industry has been abuzz with significant developments that carry vital lessons for Medicare Advantage health plans, particularly in the areas of compliance and risk assessment. These developments underscore the importance of proactive compliance monitoring and … Read More